Individual
MAAME AKUA AGYEKUM DAMPARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6442 N 76TH ST, MILWAUKEE, WI 53223-6102
(414) 353-5620
Mailing address
6442 N 76TH ST, MILWAUKEE, WI 53223-6102
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1962140
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962140
BOARD OF PHARMACY
—
Enumeration date
02/24/2020
Last updated
02/24/2020
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